Dentition status among an ethnically diverse older urban Malaysian population.

dentition status ethnic diversity older adults oral health outcomes

Journal

Journal of public health (Oxford, England)
ISSN: 1741-3850
Titre abrégé: J Public Health (Oxf)
Pays: England
ID NLM: 101188638

Informations de publication

Date de publication:
26 05 2020
Historique:
received: 12 05 2018
revised: 31 12 2018
accepted: 24 01 2019
pubmed: 24 2 2019
medline: 29 6 2021
entrez: 24 2 2019
Statut: ppublish

Résumé

Poor oral health affects not only dietary choices but overall well-being. This study explores the influence of lifestyle, socio-demographics and utilization of dental services on the dentition status of an older urban Malaysian population. A total of 1210 participants 60 years and above, representing the three main ethnic groups were recruited from a larger cohort study. Weighted factors valued for comparison included socio demographics and health status. Knowledge of and attitude and behaviour towards personal oral health were also assessed. Dentition status, adapted from WHO oral health guidelines, was the dependent variable investigated. Data were analysed using descriptive chi square test and multivariate binary logistic regression. Overall, 1187 respondents completed the study. The dentition status and oral health related knowledge, attitude and behaviour varied between the three ethnic groups. The Chinese were significantly less likely to have ≥13 missing teeth (OR = 0.698, 95% CI: 0.521-0.937) and ≥1 decayed teeth (0.653; 0.519-0.932) compared to the Malays, while the Indians were significantly less likely than the Malays to have ≥1 decayed teeth (0.695; 0.519-0.932) and ≥2 filled teeth (0.781; 0.540-1.128). Ethnic differences in dentition outcome are related to oral health utilization highlighting the influence of cultural differences and the need for culturally sensitivity interventions.

Sections du résumé

BACKGROUND
Poor oral health affects not only dietary choices but overall well-being. This study explores the influence of lifestyle, socio-demographics and utilization of dental services on the dentition status of an older urban Malaysian population.
METHODS
A total of 1210 participants 60 years and above, representing the three main ethnic groups were recruited from a larger cohort study. Weighted factors valued for comparison included socio demographics and health status. Knowledge of and attitude and behaviour towards personal oral health were also assessed. Dentition status, adapted from WHO oral health guidelines, was the dependent variable investigated. Data were analysed using descriptive chi square test and multivariate binary logistic regression.
RESULTS
Overall, 1187 respondents completed the study. The dentition status and oral health related knowledge, attitude and behaviour varied between the three ethnic groups. The Chinese were significantly less likely to have ≥13 missing teeth (OR = 0.698, 95% CI: 0.521-0.937) and ≥1 decayed teeth (0.653; 0.519-0.932) compared to the Malays, while the Indians were significantly less likely than the Malays to have ≥1 decayed teeth (0.695; 0.519-0.932) and ≥2 filled teeth (0.781; 0.540-1.128).
CONCLUSION
Ethnic differences in dentition outcome are related to oral health utilization highlighting the influence of cultural differences and the need for culturally sensitivity interventions.

Identifiants

pubmed: 30796789
pii: 5363939
doi: 10.1093/pubmed/fdz014
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

304-311

Informations de copyright

© The Author(s) 2019. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Auteurs

Muhammad Abbas Amanat (MA)

Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya. Kuala Lumpur, Malaysia.

Jacob John (J)

Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya. Kuala Lumpur, Malaysia.
Ageing and Age-Associated Disorders Research Group, Wellness Research Cluster, University of Malaya, Kuala Lumpur, Malaysia.

Tan Maw Pin (TM)

Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Ageing and Age-Associated Disorders Research Group, Wellness Research Cluster, University of Malaya, Kuala Lumpur, Malaysia.

Mahmoud Danaee (M)

Department of Social & Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Vaishali Malhotra (V)

Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya. Kuala Lumpur, Malaysia.

Syed Amjad Abbas (SA)

Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya. Kuala Lumpur, Malaysia.

Shahrul Bahyah Kamaruzzaman (SB)

Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Ageing and Age-Associated Disorders Research Group, Wellness Research Cluster, University of Malaya, Kuala Lumpur, Malaysia.

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